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[神经外科视角下的杂交手术室]

[Hybrid operation theatre from the perspective of neurosurgery].

作者信息

Schaller K, Cabrilo I, Pereira V M, Bijlenga P

机构信息

Neurochirurgische Klinik, Universitätsklinikum Genf, Rue Gabrielle-Perret-Gentil 4, 1211, Genf, Schweiz,

出版信息

Chirurg. 2013 Dec;84(12):1041-7. doi: 10.1007/s00104-013-2555-3.

DOI:10.1007/s00104-013-2555-3
PMID:24218082
Abstract

BACKGROUND

The integration of hybrid operation theatre into neurosurgical and neuroradiological routines is revolutionizing in particular the management of neurovascular emergencies, such as subarachnoid aneurysmal hemorrhage (SAH) or ruptured arteriovenous malformations.

RESULTS

The direct interaction between neurosurgeons and neuroradiologists in a joint environment changes and accelerates all diagnostic and therapeutic steps because all relevant procedures, including treatment control can be performed in a single room. Interventions of the skull base or the spine are also a domain of such hybrid theatre.

CONCLUSION

As this new concept requires organisational changes throughout the entire patient management, a change of mindset is also needed at the institutional level in order to attain maximum benefits from such a setting.

摘要

背景

将杂交手术室整合到神经外科和神经放射学常规操作中尤其正在彻底改变神经血管急症的管理,如蛛网膜下腔动脉瘤性出血(SAH)或破裂的动静脉畸形。

结果

神经外科医生和神经放射科医生在联合环境中的直接互动改变并加速了所有诊断和治疗步骤,因为所有相关程序,包括治疗控制都可以在一个房间内进行。颅底或脊柱的干预也是这种杂交手术室的领域。

结论

由于这一新概念需要在整个患者管理过程中进行组织变革,因此在机构层面也需要改变思维方式,以便从这种环境中获得最大益处。

相似文献

1
[Hybrid operation theatre from the perspective of neurosurgery].[神经外科视角下的杂交手术室]
Chirurg. 2013 Dec;84(12):1041-7. doi: 10.1007/s00104-013-2555-3.
2
[The interdisciplinary hybrid operation theatre. Current experience and future].[跨学科杂交手术室。当前经验与未来]
Chirurg. 2013 Dec;84(12):1036-40. doi: 10.1007/s00104-013-2558-0.
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[Hybrid operation theatre].[杂交手术室]
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[Hybrid operation theatre in vascular surgery. Options and perspectives].[血管外科中的杂交手术室。选择与前景]
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Vascular neurosurgery following the International Subarachnoid Aneurysm Trial: modern practice reflected by subspecialization.国际蛛网膜下腔动脉瘤试验后的血管神经外科手术:专科化反映的现代实践
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本文引用的文献

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Safety and efficacy of intraoperative angiography in craniotomies for cerebral aneurysms and arteriovenous malformations: a review of 1093 consecutive cases.
颅内动脉瘤和动静脉畸形开颅术中血管造影的安全性和有效性:1093 例连续病例回顾。
Neurosurgery. 2012 Dec;71(6):1162-9. doi: 10.1227/NEU.0b013e318271ebfc.
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Superselective indocyanine green angiography for selective revascularization in the management of peripheral cerebral aneurysms.超选择性吲哚菁绿血管造影在外周脑动脉瘤治疗中选择性血运重建的应用。
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Robotic digital subtraction angiography systems within the hybrid operating room.混合手术室中的机器人数字减影血管造影系统。
Neurosurgery. 2011 May;68(5):1427-32; discussion 1433. doi: 10.1227/NEU.0b013e31820b4f1c.
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From intraoperative angiography to advanced intraoperative imaging: the geneva experience.从术中血管造影到先进的术中成像:日内瓦的经验
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The impact of microscope-integrated intraoperative near-infrared indocyanine green videoangiography on surgery of arteriovenous malformations and dural arteriovenous fistulae.显微镜集成术中近红外吲哚菁绿视频血管造影对动静脉畸形和硬脑膜动静脉瘘手术的影响。
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